Definitions

Definitions

Your Guide to Retirement and Assisted Living Homes

Adult Day Health Care Services
Community-based programs designed to meet the needs of functionally and/or cognitively impaired adults while also providing respite care for their caregivers.

Community Care Licensing
A branch of the Department of Social Services that licenses and conducts annual visits to all assisted living and Residential Care Facilities for the Elderly (RCFEs).

Custodial vs. Skilled Nursing Level of Care
For detailed information, please refer to our custodial care page.

Department of Health Services
Responsible for licensing and conducting annual visits to skilled nursing facilities.

Deficiency Report (for Nursing Homes)
A report posted next to the main nurse station indicating infractions, such as insufficient water at bedside, unsafe conditions, or hygiene-related issues. A violation is a more serious infraction, usually resulting in fines.

Medi-Cal
California’s version of Medicaid, a federal and state program that provides health and long-term care for eligible low-income individuals and legal residents. Medi-Cal covers various services, including physician visits, hospitalization, and nursing home care, provided the stay is medically necessary.

Medicare
A federal health insurance program for individuals over 62 or those who have been disabled for at least 24 months. Medicare covers skilled nursing facility care up to 100 days with co-payments after 20 days, provided the care follows a hospitalization for the same condition. It covers skilled care, but not personal or ongoing non-medical care.

In-Home Supportive Services (IHSS)
A non-medical long-term care program offering assistance with housework and personal care for individuals who are 65 or older, disabled, and eligible for SSI or Medi-Cal. This service allows individuals to remain safely at home.

Ombudsman
An organization staffed by volunteers who address complaints related to skilled nursing facilities. (For contact details, please see our resource page.)

Senior Centers
Community-based organizations providing social and recreational activities for seniors, often including meals and transportation services to and from the center.

Social Security Supplemental Income (SSI)
A federally and state-funded program that offers a minimum monthly income for low-income elderly and disabled individuals. Some assisted living facilities accept the SSI rate (for patients needing minimal care) as payment for a shared room.

As of 2024, the SSI rate for assisted living is $1,575. For example, if a recipient receives $300 in Social Security benefits, the government provides an additional $2,275 in SSI to help cover assisted living costs. SSI recipients are also eligible for Medi-Cal.

At Clear Path Care Solutions, we are committed to providing clarity and guidance on these programs to help families make informed decisions regarding care for their loved ones.

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